Health Care Repeal Archives — Protect Our Care

Protect Our Care Statement on President Trump’s Shameful Attacks Against John McCain Over His Vote to Save Health Care

Washington, DC – After Donald Trump again insulted the memory of the late senator John McCain today over his vote to stop health care repeal Protect Our Care chair Leslie Dach released the following statement:

“Donald Trump’s latest attack against John McCain is a clear reminder that he remains obsessed with repealing and sabotaging our health care. The president is so intent on repealing health care protections, including those for people with pre-existing conditions, that he’s doubled down on his revenge vendetta against a true American war hero.”

President Trump’s FY20 Budget is a Continuation of His Administration’s All-Out Assault on Americans’ Health Care

Washington, DC – After President Trump released his FY20 budget blueprint today that would continue his administration’s systematic gutting of the American health care system, Protect Our Care executive director Brad Woodhouse released the following statement:

“The president’s budget is a continuation of the administration’s years-long war on Americans’ health care and a return to the failed policy of repeal – exactly what Americans voted against in 2018. From gutting over $1.1 trillion from Medicaid and $845 billion from Medicare, to slashing HHS’ budget by double-digits, it’s clear that the administration is once again dead-set on cutting critical health care programs relied on by millions of Americans, especially ones impacting seniors and children. These massive cuts are even more egregious considering the administration has showered health insurance and big drug companies with billions of dollars in tax breaks all while continuing an all-out assault on Medicaid, and reviving aspects of the disastrous Graham-Cassidy bill that would repeal the Affordable Care Act and replace Medicaid with a block grant program. As Secretary Azar appears before multiple congressional committees this week to defend Trump’s budget, it’s clear he owes the American people an explanation as to why the administration continues to prioritize its war on American health care.”

Trump Regime Launches Cover Up Of Its Health Care Sabotage

Washington DC — As reported by the Associated Press, the Trump White House is claiming it has done nothing to “sabotage” the Affordable Care Act. In a report expected to be released today, the Council of Economic Advisers is trying to claim that the administration’s relentless war on Americans’ health care does not constitute “sabotage.” This is blatantly false. Brad Woodhouse, executive director of Protect Our Care, issued the following statement:

“We’re just over a month into 2019 but this whopper is already in the running for the lie of the year. The Trump administration’s relentless sabotage of our health care system is well-documented. In November, voters took to the polls and rejected the Republican war on health care, and the fact that this administration is launching a massive cover-up of their sabotage means that they’re already bracing themselves against the wrath of voters in 2020.”

Don’t believe us? Take a look at our sabotage tracker:

February 2019

  • Trump predicts the Affordable Care Act will be “terminated” through the Texas lawsuit seeking to overturn the law.
  • In an effort to restrict access to information about women’s reproductive health, the Trump administration removes web pages associated with the ACA and its contraceptive coverage from HHS’s Office of Population Affairs website.

January 2019

  • Thanks to GOP sabotage, the uninsured rate surges to the its highest level since 2014. Roughly seven million fewer people are estimated to have health care now than did two years ago.
  • The Centers for Medicare and Medicaid Services (CMS) proposes changes to the ACA’s benefit and payment parameters, reducing subsidies available to those who purchase health care through the exchange, increasing premiums, and raising the out-of-pocket maximum for people with employer-sponsored health care.
  • In a win for big Pharma, the Trump administration proposes changes to the rebate system that would raise premiums, benefit pharmaceutical companies, and contain no mandate to lower list prices of drugs.

December 2018

  • Hand-picked Federal Judge Reed O’Connor rules in favor of twenty conservative states to overturn the Affordable Care Act, jeopardizing coverage for 17 million people and ripping away the ACA’s vital consumer protections such as protections for people with pre-existing conditions.
  • Under the Trump administration’s relentless sabotage, the uninsured rate increases for the first time since 2010. As the Kaiser Family Foundation finds, “In 2017, the uninsured rate reversed course and, for the first time since the passage of the ACA, rose significantly to 10.2% [from 10%].”

November 2018

  • Trump administration issues new guidance urging states to “tear down basic pillars of the Affordable Care Act, demolishing a basic rule” that federal subsidies can only be used to purchase ACA-compliant plans. Experts warn against this move, saying it will push affordable, comprehensive care further out of reach for individuals with pre-existing conditions.
  • Under the Trump administration, the number of uninsured children grows for the first time in nearly a decade. After a decade of steady decreases in the number of uninsured children, in 2017 the number of uninsured children increased from 3.6 million to 3.9 million.

October 2018

  • Republicans appoint Brett Kavanaugh to the Supreme Court. Kavanaugh is known to be hostile to the Affordable Care Act.
  • The Trump administration issues guidance that allows federal subsidies to be used to purchase junk plans that can deny coverage to people with pre-existing conditions.

September 2018

  • The Trump administration’s Department of Justice joins twenty conservative states in court in opening arguments to argue that the Affordable Care Act’s protections for people with pre-existing conditions should be overturned.
  • Nearly 4,600 Arkansans are unable to meet Arkansas’ reporting requirements for the state’s Medicaid work requirements and lose Medicaid coverage.

August 2018

  • Trump administration finalizes rule for bare-bones short-term plans that are exempt from key consumer protections, such as the requirement that insurance covers prescription drugs, maternity care, and hospitalization.

July 2018

  • CMS halts risk adjustment payments, that enable insurance companies to cover everyone, regardless of whether they are healthy or sick.
  • Trump Administration slashes funding for non-profit health navigator groups, that help people shop for coverage, from $36 million to $10 million. CMS encourages groups to use the remaining funds to push people to sign up for junk plans that skirt important consumer protections.
  • President Trump nominates Brett Kavanaugh to the Supreme Court. Kavanaugh has previously forced a young woman to continue a pregnancy against her will and has criticized Justice Roberts for upholding the Affordable Care Act’s constitutionality.

June 2018

  • Department of Justice takes to the courts to argue that insurance companies should be able to discriminate against as many as 130 million Americans with a pre-existing condition.
  • Republican coalition, the Health Policy Consensus Group, released their latest proposal to repeal the Affordable Care Act, which would gut protections for people with pre-existing conditions, let insurance companies charge older people an age tax, and deny key coverage for basic services like maternity care.
  • Trump Administration finalizes proposal to expand access to association health plans that skirt key consumer protections.

May 2018

  • President Trump boasts about health care sabotage: “We will have gotten rid of a majority of Obamacare.”
  • Trump Administration enlists help of former drug lobbyist in writing its drug plan.
  • Congressional Republicans try to use annual farm bill to authorize $65 million in taxpayer funding to set up association health plans, which can  exclude prescription drug coverage, mental health care, and maternity care.

April 2018

  • House Republicans vote on a balanced budget amendment that would cut Medicaid by $700 billion over ten years, $114 billion in a single year alone.
  • Trump Administration limits access to assistance for consumers who want to enroll in marketplace coverage. This change removes the requirement that every area has at least two “navigator” groups to provide consumer assistance and that one be local. Now, just one group could cover entire states or groups of states.

March 2018

  • Republicans sabotage efforts to pass a bipartisan bill that would have stabilized Affordable Care Act marketplaces by insisting the bill restrict access to abortion.

February 2018

  • The Trump Administration announces that it will expand access to short-term health plans that do not have to comply with key consumer protection provisions required by the Affordable Care Act.
  • Urban Institute calculates that repeal of the individual mandate and expansion of short term plans will increase individual market premiums by an average 18.2 percent in 2019.
  • Trump Administration releases budget that calls for the Affordable Care Act to be replaced by Graham-Cassidy, in a move that experts predict would reduce health coverage for 32 million Americans.

January 2018

  • The Trump Administration announces that it will support states that impose onerous work requirements on Americans covered by Medicaid, and approves Kentucky’s worst-in-the-nation waiver the next day.
  • The Trump Administration announces a move to allow providers to discriminate by allowing them to deny patient care for almost any reason.
  • The Trump Administration makes plans to announce even more exemptions from the requirement people have health coverage before this provision is repealed altogether.

December 2017

  • The Trump Administration proposes a rule to expand association health plans, which would gut consumer protections, raise costs for people with pre-existing conditions and further destabilize the insurance markets.
  • Congressional Republicans pass their tax scam, which doubles as a sneaky repeal of the Affordable Care Act  by kicking 13 million people off of their insurance and raising premiums by double digits for millions more.

November 2017

  • Republicans refuse to move forward on the bipartisan Alexander-Murray bill to address the CSR crisis even though it had a filibuster-proof majority in the Senate.

October 2017

  • The Trump Administration takes direct aim at birth control by rolling back a rule that guaranteed women access to contraception. (A court has since questioned the legality of the action.)
  • President Trump signs an Executive Order to roll back key consumer protections that will result in garbage insurance, raise premiums, reduce coverage and again expose millions of Americans to discrimination based on pre-existing conditions.
  • The Trump Administration dramatically cuts in-person assistance to help people sign up for 2018 health coverage.
  • After threatening for months to stop funding cost-sharing reduction payments (CSRs) that help lower deductibles and out-of-pocket costs, the Trump Administration stops the payments altogether. The CBO finds that failing to make these payments will increase premiums by 20% and add nearly $200 billion to the debt.

September 2017

  • The Administration orders the Department of Health and Human Services’ regional directors to stop participating in Open Enrollment events. Mississippi Health Advocacy Program Executive Director Roy Mitchell says, “I didn’t call it sabotage…But that’s what it is.”

August 2017

  • The Administration cuts the outreach advertising budget for Open Enrollment by 90 percent, from $100 million to just $10 million – which resulted in as many as 1.1 million fewer people getting covered.

July 2017

  • The Trump Administration uses funding intended to support health insurance enrollment to launch a multimedia propaganda campaign against the Affordable Care Act.
  • President Trump, again, threatens to end cost-sharing reduction payments.

June 2017

  • Senate Republicans embark on a monthslong failed attempt to pass BCRA, Skinny Repeal and Graham-Cassidy, all repeal bills that would have caused millions of Americans to lose their health coverage and raised premiums by double digits for millions more. They would have ended Medicaid as we know it, putting the care of children, seniors and people with disabilities at risk.

May 2017

  • House Republicans vote for and pass a health care repeal bill that would cause 23 million people to lose coverage and gut protections for people with pre-existing conditions. It would have imposed an age tax and allowed insurers to charge people over 50 five times more for coverage and ended Medicaid as we know it, putting the care of seniors, children and people with disabilities in jeopardy.

April 2017

  • The Trump Administration cuts the number of days people could sign up for coverage during open enrollment by half, from 90 days to 45 days.
  • In an effort to convince Democrats to negotiate a repeal of the Affordable Care Act, President Trump threatens to cut off cost-sharing reduction payments (CSRs) that help low-income marketplace customers pay for out-of-pocket costs.

March 2017

  • The Trump Administration sends a letter to governors encouraging them to submit proposals which include provisions such as work requirements that make it harder for Medicaid beneficiaries to get affordable care and increase the number of people who are uninsured.

February 2017

  • The Trump Administration proposes a rule to weaken Marketplace coverage and raise premiums for millions of middle-class families.

January 2017

  • On his first day in office, President Trump signs an Executive Order directing the administration to identify every way it can unravel the Affordable Care Act.
  • Also on January 20th, the Department of Health and Human Services begins to remove information on how to sign up for the Affordable Care Act.
  • The Trump Administration pulls funding for outreach and advertising for the final days of 2017 enrollment. This move is estimated to have reduced enrollment by nearly 500,000.

Health Care Repeal Crusader Matt Rosendale To Debate Health Care Champion Senator Jon Tester

Washington, DC – Tonight, health care champion Senator Jon Tester will debate Matt Rosendale, a rabid, pro-repeal and anti-Medicaid Republican who supports ending protections for people with pre-existing conditions. Ahead of the debate, Brad Woodhouse, executive director of Protect Our Care, issued the following statement:

Though Matt Rosendale recently started to pay lip service to protections for people with pre-existing conditions, the truth is he’s supported Republican bills to eliminate protections for people with pre-existing conditions in the past and his website says he’ll never ‘give up’ on repeal in the future. Rosendale even voted against the Medicaid expansion, which is a lifeline to thousands of Montanans.  Matt Rosendale is an Insurance Commissioner who wants to take away health coverage from thousands of Montanans while Jon Tester is a champion for health care and will always put the health of Montanans first. ”  



What Would Rosendale’s Repeal of the Affordable Care Act Mean for Montana?

  • Protections for 426,000 Montanans with pre-existing conditions, if they buy coverage on their own
  • Improvements to Medicare, including reduced costs for prescription drugs
  • Allowing kids to stay on their parents’ insurance until age 26
  • Ban on annual and lifetime limits
  • Ban on insurance discrimination against women
  • Limit on out-of-pocket costs
  • Medicaid expansion currently covering 15 million people
  • Rules to hold insurance companies accountable
  • Small business tax credits
  • Marketplace tax credits and coverage for up to 49,000 Montanans.

Rosendale Claims To Support Protecting Coverage For Pre-Existing Conditions, But Supported A Repeal That Would Have Gutted Protections


  • Rosendale Supported A Straight Repeal Of The ACA.  “Yet while Daines and Rosendale called for a straight repeal of the ACA, or “Obamacare,” that approach could be a political dead-end as well. […] Daines has never said publicly whether he would have supported the GOP proposal that was pulled Monday night, after two additional Republican senators came out against it. On Tuesday, however, he said it’s time to vote to get rid of ‘Obamacare,’ delay the effective date, and figure out the replacement before that date kicks in. Rosendale agreed, and said two years should be enough time to come up with a replacement.” [KRTV, 7/18/17]


  • Rosendale:  “I Won’t Give Up On Repealing And Replacing Obamacare.” “I won’t give up on repealing and replacing Obamacare. Montana families have been devastated with higher premiums and higher deductibles that have made health care completely unaffordable. President Trump has taken important steps to dismantle this disastrous law by removing the individual mandate and removing limits on health plan options. I’ll continue working to expand access and reduce health care costs because we must provide more affordable options and better care to all Montanans while also protecting those with pre-existing conditions.” [Matt Rosendale for Montana, accessed 8/23/18]


  • Rosendale Claimed The ACA Was In “A Death Spiral” And “Collapsing Under Its Own Weight.”  “Obamacare is in a death spiral. Insurance premiums increased yet again by an average of 25 to 50 percent this year in Montana. As more insurers abandon the Affordable Care Act’s exchange, costs continue to skyrocket across the nation. These trends are unsustainable, and the system is collapsing under its own weight. As I’ve traveled across the state, Montanans have told me that reform is necessary. My role as Commissioner of Securities and Insurance is to advocate for the interests of average Montana insurance customers. I’m committed to fighting for health care policies that expand options, reduce costs, improve access, and respect personal choices.” [Matt Rosendale Op-Ed, Helena Independent Record, 3/20/17]


  • 2017: Rosendale Supported A Clean Repeal Bill, Which Would Have Gutted Protections For People With Pre-Existing Conditions.  “Montana’s two U.S. senators split down party lines Tuesday on the GOP’s failed attempts to do a clean repeal of the Affordable Care Act within two years and replace it, with one saying Montana’s current system is in dire straits and the other accusing Republicans of playing politics.  […] Matt Rosendale, the state securities and insurance commissioner, supported the repeal, saying Obamacare has been driving insurance prices up and limiting the choices people have to access health care. ‘It needs to be repealed, and Montana needs the flexibility to develop our own unique solutions to meet the needs of our most vulnerable citizens,’ he said. Rosendale said state lawmakers are ‘capable of crafting made-in-Montana policies to ensure transparency, bring down prices, and protect those with preexisting conditions.’  ‘I’m going to keep fighting for reform because the current system is broken and the people of Montana deserve better,’ Rosendale said.” [Great Falls Tribune, 7/18/17]


  • 2017:  Rosendale Supported Allowing Insurers To Offer Plans That Don’t Cover Pre-Existing Conditions Or Offer Minimum Benefits Mandated By The ACA.  “Rosendale said states should be allowed to let health insurers offer less-expensive plans that cover fewer things, instead of the minimum benefits mandated by the ACA. Those products could be priced lower for younger, healthier customers, he said – or people could use non-insurance products for their health coverage, such as agreements with primary-care providers. ‘If you give the consumer the ability to find something that fits their budget, that fits their health-care needs and meets their personal choices, then that will help us start bending the cost curve down,’ Rosendale said. Health insurers and others have said this approach would end up pricing certain people out of the market, such as older, sicker customers. However, Rosendale said the state and federal government can solve that problem by financing a high-risk insurance pool that would offer coverage to these more costly patients.” [KRTV, 7/18/17]

Rosendale Opposed Expanding Medicaid in Montana

Rosendale Voted Against Expanding Medicaid.  [SB 405, 4/18/15]

  • Thanks to the Medicaid expansion that Rosendale opposed, 58,100 Montana residents have gained coverage. 46 percent of Montana’s children rely on Medicaid coverage. Eliminating the Medicaid expansion would devastate Montana’s ability to address the opioid crisis as one in four adults battling addiction nationwide are covered through Medicaid.

Reminder: Those Who Know Health Care The Best Say The Texas Lawsuit Is the Worst

Tomorrow, oral argument will be held in the case Texas, et al. vs. United States, et al., which not only threatens protections for people with pre-existing conditions, but a whole host of provisions of tens of millions of Americans rely upon for their care and coverage. If the court rules in favor of the Republican states and the Trump administration, critical Affordable Care Act protections would vanish overnight, unleashing chaos in our entire health care system. Just see what the experts say.

Patient groups, physicians, and hospitals emphasize how much the lawsuit could threaten care for people across the country:

  • American Public Health Association’s Executive Director, Dr. Georges Benjamin, Says the Lawsuit Could Be The Most Dangerous Effort To Destabilize The American Healthcare System Yet. “Overturning the ACA will result in a catastrophic loss of coverage for millions of Americans. According to a new analysis by the Urban Institute, if the ACA is invalidated, more than 17 million people would lose coverage in 2019. That would be a 50% increase in the number of uninsured in just one year, including 12 million people who receive insurance through the marketplaces created by the ACA and 2.3 million young adults who gained coverage through its expansion of dependent care. Striking down the ACA will jeopardize the healthcare of those who need it most. Nearly 12 million low-income Americans who were enrolled in Medicaid through the ACA would likely lose coverage…This lawsuit could be the most dangerous effort to destabilize the American healthcare system yet. That’s why the American Public Health Association has submitted friend-of-the-court briefs opposing this suit, along with many other health organizations, insurers, economists and members of the business community.” [Los Angeles Times, Benjamin, 9/4/18]          


  • American Cancer Society, American Cancer Society Cancer Action Network, American Diabetes Association, American Heart Association, American Lung Association, and National Multiple Sclerosis Society: “Striking Down These Provisions Would Be Catastrophic And Have Dire Consequences For Many Patients With Serious Illnesses.” Invalidating the ACA in whole or in part “would be devastating for the millions of Americans who suffer from serious illness or have preexisting conditions and rely on those protections under current law to obtain life-saving health care. If either the plaintiffs’ or the administration’s position were adopted by the court, people with serious illness are likely to be denied coverage due to their preexisting conditions or charged such high premiums because of their health status that they will be unable to afford any coverage that may be offered. Without access to comprehensive coverage, patients will be forced to delay, skip, or forego care. Striking down these provisions would be catastrophic and have dire consequences for many patients with serious illnesses.” [American Cancer Society et. al, 6/14/18


  • American Medical Association, The American Academy of Family Physicians, The American College of Physicians, The American Academy of Pediatrics, and the American Academy of Child and Adolescent Psychiatry: “​Invalidating The Guaranteed-issue And Community Rating Provisions—or The ​Entire A​CA—Would Have A Devastating Impact On Doctors, Patients, And The American Health Care System As A Whole.” “Congress declined to do what the Plaintiffs ask this Court to do for a reason: the consequences of repealing the ACA would be staggering…Plaintiffs’ proposed remedies . . . would strip health care from tens of millions of Americans who depend on the ACA; produce skyrocketing insurance costs; and sow chaos in the nation’s health care system​…The ACA’s ‘nationwide protections for Americans with pre-existing health conditions’ has played a ‘key role’ in allowing 3.6 million people to obtain affordable health insurance. Severing those vital insurance reforms would leave millions without much-needed insurance.” [AMA et. al, 6/14/18]


  • American Hospital Association, Federation of American Hospitals, The Catholic Health Association of the United States, and Association of American Medical Colleges: “A judicial repeal would have severe consequences for America’s hospitals, which would be forced to shoulder the greater uncompensated-care burden that the ACA’s repeal would create.” The relief sought by Texas and its allies “would have devastating consequences, kicking millions of Americans off of coverage and inflicting on them all the harms that come with being uninsured. These harms would fall on the low-income families least able to cope with them. ​And a judicial repeal would have severe consequences for America’s hospitals, which would be forced to shoulder the greater uncompensated-care burden that the ACA’s repeal would create.” [American Hospital Association et. al, 6/14/18]


  • Public Health Scholars and the American Public Health Association: “The Foreseeable Public Health Consequences Of The Injunction Are Nothing Short of Catastrophic.” “Without the ACA, the health of millions of Americans would be harmed. Consider the grim analyses of proposed legislation partially repealing the ACA: In 2017, the nonpartisan Congressional Budget Office (“CBO”) assessed the impact of a bill partially repealing the ACA and found (among other things) that it would, in “the first new plan year following enactment of the bill” alone, increase the number of uninsured Americans by 18 million. That number would grow to 27 million after the “year following the elimination of the Medicaid expansion,” and then to 32 million by 2026. Still more is at stake here: Unlike the injunctive relief plaintiffs seek, the bill analyzed by CBO would have staggered its partial repeal of the ACA to avoid catastrophic results. Here, plaintiffs ask the Court to eliminate, as preliminary injunctive relief, a complex statute in its eighth year of implementation—a statute whose repeal through democratic means has been attempted innumerable times but has never succeeded.” [Public Health Scholars et. al, 6/14/18]


  • AARP: Before ACA’s Protections, Discrimination Against Those With Pre-Existing Conditions, Age Rating, And Annual And Lifetime Caps Made Accessing Health Care Out Of Reach For Older Adults. “Uninsured pre-Medicare adults faced nearly insurmountable challenges to securing insurance because they were denied coverage based on preexisting conditions or offered costly policies that excluded coverage for needed care. Even without preexisting conditions, insurance premiums for older adults were as much as 11 times greater than their younger counterparts solely based on their age. Even a healthy person who was age 50 to 64 with no preexisting conditions faced markedly higher insurance premium rates than a younger person. Age rating put the cost of insurance out of reach for many pre-Medicare adults. Annual and lifetime caps—which were easily exceeded by treatment for a single illness such as cancer, heart disease, or diabetes—meant that many older adults either went without treatment until they became eligible for Medicare or incurred financially ruinous medical debt.” [AARP, 6/14/18]

Health insurance companies warn that the lawsuit could lead to mass coverage losses:

  • America’s Health Insurance Plans: “Abruptly threatening or even cutting off billions of federal dollars that allow individuals to purchase insurance and that fund benefits offered through Medicaid or Medicare would have devastating effects.”“The healthcare system, while constantly evolving, cannot pivot to a new (or, worse yet, non-existent) set of rules without consequences. Abruptly threatening or even cutting off billions of federal dollars that allow individuals to purchase insurance and that fund benefits offered through Medicaid or Medicare would have devastating effects.​ Enjoining enforcement of federal laws like the federally-facilitated marketplaces and the products sold on them would be similarly disruptive.” [AHIP, 6/14/18]


  • The Ability Of Millions Of Low-Income, Medically Vulnerable People To Access Necessary Treatments Would Be Cast Into Doubt. “The Medicaid program would likewise experience significant disruptions​. Stopping the funding for individuals made newly eligible for Medicaid under the ACA would harm the 34 states that have chosen to expand their Medicaid programs and potentially disrupt healthcare coverage for the 12 million people added as a result of that expansion​…The coverage of millions of low-income and medically-vulnerable patients—and their ability to receive necessary treatments and prescription drugs—would be cast into doubt. At the same time, state Medicaid programs would see drug costs increase considerably for all enrollees (including children, disabled, and elderly) due to the loss of the ACA’s enhanced prescription drug rebates​.” [AHIP, 6/14/18]

Small businesses, economists, and the Service Employees International Union (SEIU) demonstrate how DOJ’s lawsuit would jeopardize Americans’ health while harming the economy:

  • Small Business Majority Foundation: “Before the enactment of ACA, this linkage pressured individuals to seek out and then stay put in jobs that provided affordable health insurance—a phenomenon known as ‘job lock’—because people clung to jobs with affordable health coverage even when they might have otherwise chosen to start businesses or pursue more attractive job opportunities with growing small businesses.” Small business owners, their employees, and self-employed individuals have benefited significantly from the many different reforms enacted as part of the Affordable Care Act, especially the creation of the individual marketplaces with tax credits, the optional expansion of Medicaid, and small group market reforms. Millions more working Americans, who are self employed or employees of the Nation’s small businesses, now have health insurance that they would not have had without the Act. The harm they will suffer if the Act is enjoined is just one of many reasons why the public interest is not served by Plaintiffs’ sweeping requested injunction.” [Small Business Majority Foundation, 6/14/18]


  • Service Employees International Union (SEIU): “A Decision Striking Down The ACA Not Only Would Strip Health Coverage And Protections From Nearly 30 Million People And Remove Quality Care Incentives For Providers But Also Would Have Catastrophic Economic Consequences.” “Loss of the ACA would cause an enormous surge in the number of uninsured Americans, which would in turn increase the burden of uncompensated medical care costs borne by hospitals and other medical care providers by an estimated $1 trillion between 2019 and 2028. The massive reduction in federal funding would lead to the loss of up to 2.6 million jobs. And because the health care sector accounts for such a large percentage of the overall U.S. economy, eliminating the ACA would result in a $2.6 trillion reduction in total business activity between 2019 and 2023.” [SEIU, 6/14/18]


  • Linda Blumberg, Fellow At Urban Institute’s Health Policy Center, And Sherry Glied, Dean Of Public Service At New York University: Lawsuit Would “Damage A Broad Swath Of The American Economy.” “We are economists, so we cannot address the legal questions. But we know what would happen if the court eliminated the ACA’s protections for people with health problems or invalidated the law entirely. The Urban Institute estimates that 17.1 million more people would become uninsured in 2019, a 50 percent increase in the number of uninsured. A decision for the plaintiffs would go beyond coverage losses. The ACA is complex and touches virtually every area of health care. Consumers and providers have relied on it for over eight years. Invalidating the law would eliminate extensions of coverage for those with employer insurance or Medicare, including preventive services with no cost-sharing, dependent coverage for young adults, and closure of the Medicare ‘donut hole’ that lowers prescriptions costs for seniors. It would throw the Medicare payment system into chaos and would require states to change the systems they built for determining Medicaid eligibility. It would damage a broad swath of the American economy.” [Austin American-Statesman, 8/30/18]

Law professors and the American Medical Association question the legality of the Justice Department’s argument:

  • Josh Blackman, Professor At South Texas College Of Law: Writing Off This Case Would Be A Mistake. “Writing off this case would be a mistake, warned Josh Blackman, a professor at South Texas College of Law and frequent commentator on the healthcare law. ‘If the history of the Affordable Care Act teaches us anything, it is that we should not dismiss legal challenges too quickly,’ he said.” [Los Angeles Times, 9/4/18]
  • Law Professors From Both Sides Of The Aisle, Including Jonathan Adler, Ilya Somin, Nicholas Bagley, Abbe Gluck, and Kevin Walsh, Note That Despite Their Different Policy Perspectives, They Agree That DOJ’s Arguments About Severability Are Inconsistent With The Law. “[A] court’s substitution of its own judgment for that of Congress would be an unlawful usurpation of congressional power and violate basic black-letter principles of severability. Yet that is what the plaintiff States and the United States invite this Court to do.​..This time-shifting of congressional intent misapplies severability doctrine. By expressly amending the statute in 2017 and setting the penalty at zero while not making other changes, Congress eliminated any need to examine earlier legislative findings or to theorize about what Congress would have wanted. Congress told us what it wanted through its 2017 legislative actions.” [Jonathan Adler et. al, 6/14/18]


  • American Medical Association, The American Academy of Family Physicians, The American College of Physicians, The American Academy of Pediatrics, and the American Academy of Child and Adolescent Psychiatry: DOJ Seeks To “Change The Federal Government’s Health Care Policy Through The Courts.” “The plaintiffs do not seek redress for any real, concrete injury because they have suffered none. They simply seek to change the federal government’s health care policy through the courts, rather than through the legislature.” [AMA et. al, 6/14/18]

The Truth Behind Mike Braun’s Health Care Record

Tonight in Evansville, President Trump will campaign for Mike Braun, a long-time supporter of the GOP repeal-and-sabotage agenda and a proponent of repealing the Affordable Care Act (ACA). Braun is also a supporter of the Trump-GOP lawsuit to eliminate the ACA’s protections for 2.7 million Hoosiers living with pre-existing conditions. Here’s a closer look.

Although Braun Has Claimed To Support Protections For People With Pre-Existing Conditions, the Truth Is:

  • Braun Supports A Lawsuit That Would Overturn Protections For People With Pre-existing Conditions. “The Republican, [Braun], however, has also endorsed a Republican lawsuit that would rescind the health care law along with that popular provision.” [Politico, 8/13/18]
  • Braun Is Campaigning On The Repeal Of The Affordable Care Act And Its Protections For People With Pre-existing Conditions. On the subject of the ACA, his website reads, “There is no repairing this broken law; the only option is to repeal and replace every word and regulation.” [Braun For Indiana, Accessed 8/14/18]
  • Braun, June 2018: I Will “Fully Repeal” Obamacare. “In the Senate, I will use my business experience and work with President Trump to fully repeal Obamacare and implement free-market solutions that will provide better healthcare for Hoosiers.” [City-County Observer, 7/26/18]
  • May 2018: The Tea Party Has Endorsed Braun, In Part Because He Supports “Repealing Obamacare.” “Our supporters were proud to endorse Mike, because he is a strong supporter of the Penny Plan, term limits, repealing Obamacare.” [Tea Party, 5/9/18]

Why The Truth Matters:

  • 2,745,700 Hoosiers Live With A Pre-Existing Condition. About one in two Hoosiers, 50 percent, lives with a pre-existing condition. [CAP, 4/5/17]
  • 1,382,000 Indiana Women And Girls Have A Pre-Existing Condition. Approximately 1,382,000 women and girls in Indiana live with a pre-existing condition. [CAP & National Partnership For Women and Families, June 2018]
  • 377,100 Indiana Children Already Have A Pre-Existing Condition. Roughly 377,000 Hoosiers below age 18 live with a pre-existing condition. [CAP, 4/5/17]
  • 643,800 Older Hoosiers Live With A Pre-Existing Condition. 643,800 Indiana adults between the ages of 55 and 64 live with at least one pre-existing condition, meaning attacks on these protections significantly threaten Hoosiers approaching Medicare age. [CAP, 4/5/17]



Support for ACA Continues to Rise – Over 2/3 of Voters Want ACA Kept and Fixed, Not Repealed; Voters Oppose Tax Bill Killing ACA Mandate

From: Jim Williams, Public Policy Polling

To: Interested Parties

Subject: Support for ACA Continues to Rise – Over 2/3 of Voters Want ACA Kept and Fixed, Not Repealed; Voters Oppose Tax Bill Killing ACA Mandate    

Date: December 14, 2017

A new Public Policy Polling survey finds that approval of the Affordable Care Act continues to rise among voters, and nearly 7 in 10 want Congress to keep what works about the ACA and fix what doesn’t rather than repeal it and start over with a new healthcare law. Further, only 29% of voters say they support the Republican tax bill currently being debated in Congress after learning it includes a health care repeal that removes the individual mandate in the Affordable Care Act.

Key findings from the survey include:

  • Voter approval of the Affordable Care Act continues to rise. 57% say they approval of the law compared to just 36% who say they disapprove – a 21 point gap. This is up 5 points from a September poll done for Save My Care where approval was 54/38.
  • Voters continue to strongly think that Congress should keep what works about the ACA and fix what doesn’t rather than repeal it and start over with a new healthcare law – voters say so by a 68/30 margin in this poll expanding to 71/26 among independents. That 38 point advantage is up from a 27 point advantage of 60/33 from an October poll done for Save My Care.
  • Just 29% of voters say they support the Republican tax bill currently being debated in Congress after learning it removes the individual mandate in the Affordable Care Act.

PPP surveyed 585 registered voters nationally from December 12-13, 2017.  The margin of error is +/- 4.1%. This poll was conducted using automated telephone interviews for Protect Our Care.

112 Days Ago, Bill Cassidy Cared About The Damage of Health Care Repeal, Now He Doesn’t

Senator Bill Cassidy doesn’t care about how damaging the nonpartisan Congressional Budget Office says his health care repeal bill will be to people.

It’s far different from 112 days ago when he actually cared about the impact of health care repeal. The latest repeal scheme bears Cassidy’s name but was written in secret without hearings or expert input.

See here.

5/26/17 — Senator Bill Cassidy on CBO: “I think we need to be instructed by [the score],”

9/15/17 — Senator Bill Cassidy on CBO: ““I just don’t care about the coverage numbers”